The Regen Doc Podcast

Aneesh Garg, DO, CAQ | Physician | Regenerative Sports Medicine Expert

The Regen Doc podcast with Dr. Aneesh Garg explores non-surgical regenerative medicine for athletes and active individuals. Discover how PRP, stem cell therapy, shockwave, EXOMIND, and EMSELLA can help you avoid surgery, heal at the cellular level, and get back to peak performance. Perfect for runners, climbers, cyclists, and weekend warriors seeking precision care.

  1. 2d ago

    #19 Stop Getting Steroid Injections. Period. | Dr. Aneesh Garg

    Most doctors won't say this: steroid injections are substandard medicine the overwhelming majority of the time. They don't just fail to heal — they destroy cartilage, weaken tendons, and accelerate the very condition they're supposed to treat. Dr. Aneesh Garg, DO, CAQ breaks down why cortisone shots are a business model disguised as a treatment plan, why inflammation is actually your friend, and what PRP, EMTT, and focused shockwave do instead. In 56 clinical trials, PRP outperforms steroid injections past the four-week mark every single time. The evidence isn't close. Chapters: 0:00 Stop getting steroid injections — here's why0:57 My doctor gives me cortisone every few months and it helps — what's the problem?1:03 Steroid injections lose you more cartilage than saline — JAMA evidence2:45 A business model, not a treatment plan3:22 But cortisone reduces inflammation — isn't that the point?3:29 Inflammation isn't bad — good inflammation is how you heal4:49 PRP, stem cells, and focused shockwave are pro-inflammatory — that's why they work5:16 56 trials: PRP outperforms steroid injections past four weeks every time9:11 The biggest culprits: knee arthritis, tennis elbow, golfer's elbow, Achilles10:23 If your doctor is injecting Achilles with steroid — don't even take off your shoe10:56 Getting a steroid injection locks you out of pro-inflammatory treatments for six weeks12:01 So what should I be getting instead of cortisone?12:04 EMTT, focused shockwave, PRP, stem cells — how they work differently13:28 What does tangible damage from years of steroid injections actually look like?15:11 The smoke detector analogy: steroids take out the battery, they don't put out the fire16:24 What should I do the next time my doctor reaches for the cortisone needle?16:28 Ask what your other options are — if they can't answer, walk out17:43 If you have a steroid injection scheduled tomorrow, cancel it Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  2. Aug 11

    #18 Pickleball Is Wrecking Your Body (And How to Fix It) | Dr. Aneesh Garg

    Pickleball is the fastest-growing sport in America, but it is also the fastest-growing source of orthopedic injuries walking into the clinic. ER visits related to the sport have surged from 1,300 in 2014 to over 24,000 in 2023! In this episode of The Regen Doc, Dr. Aneesh Garg explains why this seemingly casual game is actually a high-demand sport that is beating up your knees, Achilles, shoulders, and elbows. Tune in to learn why the smaller court size actually condenses and magnifies the physical toll, how the "one-foot box" training mentality leaves you vulnerable to lateral injuries, and how advanced regenerative protocols can build an unbreakable foundation so you can keep playing the game you love. Main Topics Covered The 1800% Surge: Why pickleball injuries have skyrocketed over the last decade and why the sport's quick, lateral stop-and-start movements on hard courts are so brutal on unconditioned joints.The Court Size Paradox: Why playing on a surface 22 feet shorter than a tennis court actually condenses your movements and drastically increases the physical demand on your body.The "One-Foot Box" Weakness: How runners, cyclists, and triathletes heavily overtrain in a straight line and fail to train for lateral movement, leaving their hips and core completely unprepared for pickleball.Building the Foundation: How treatments like the Dynamic Core Plus protocol (utilizing Emsella and Focused Shockwave) strengthen the pelvic floor and core to create an essential wall of physical support.The Mental Health Toll: Acknowledging the hidden emotional and social impact of being sidelined from your favorite weekly community activity.Treat Before Failure: Why the absolute best time to treat Achilles tendinopathy or knee pain is the very moment you feel it, long before a complete tendon rupture occurs. Key Takeaways Respect the Demand: Pickleball is not a low-impact sport. It requires serious physical preparation, core strength, and joint stability to play safely multiple times a week.Prehab is Crucial: You must build strength outside of simple forward-motion exercises. Developing your hip and pelvic floor strength is non-negotiable for lateral sports.Do Not Ignore the Warning Signs: Pushing through minor aches and assuming it is just "getting older" turns a highly treatable issue into a massive, months-long surgical recovery.Keep Playing: The goal is never to quit the sport. The goal is to address the wear and tear early using regenerative medicine so you can stay active, social, and on the court pain-free. Call to Action If your body is barking at you after your weekend matches, it is time to take control of your healing before a serious injury takes you off the court! Please follow, like, and share The Regen Doc podcast to help other players stay active and pain-free. Watch on YouTube: https://www.youtube.com/@TheRegenDocPodcast Connect with Dr. Aneesh Garg:To learn more about his practice, read up on the dynamic shockwave protocols, and see if you are a candidate for regenerative medicine, visit DynamicAthlete.com. Important Links Dynamic Athlete HomepageMeet Dr. Aneesh GargPRP TherapyStem Cell TherapyShockwave TherapyExomindEmsella Therapy Medical DisclaimerThe Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Patient stories are anonymized, individual results vary, and candidacy requires a formal consultation at DynamicAthlete.com.

  3. Aug 4

    #17 Arthritis at 45 — Dr. Aneesh Garg, DO, CAQ on What It Actually Means for Your Active Life

    You just got told you have arthritis and you're 45. The first thought is that your active life is over and you're headed for a joint replacement. Dr. Aneesh Garg, DO, CAQ says that's not even close to true — but the way most people respond to that diagnosis makes it worse. In this episode he breaks down why stopping exercise accelerates joint degeneration, why steroid injections speed up the arthritis train, and how a 45-year-old woman with a knee replacement scheduled for the following week cancelled her surgery and worked her way back to hiking and 10Ks using EMTT, focused shockwave, PRP, and stem cells. Chapters: 0:00 Arthritis at 45 — what that diagnosis actually means0:56 Does early arthritis mean I'm headed for a joint replacement?1:06 Arthritis is a spectrum — and the trajectory is changeable2:30 The gap between diagnosis and joint replacement that nobody talks about3:14 Should I stop running and working out to protect my joints?3:17 No — inactivity accelerates joint degeneration3:54 The weight equation: every extra pound means four pounds of force on the knee4:41 Cartilage has no blood supply — movement is how it gets nourished6:08 What can I actually do about early arthritis to slow it down?6:15 The old paradigm: PT, steroid injection, wait for replacement — why that's unacceptable8:23 EMTT, focused shockwave, PRP, hyaluronic acid, stem cells — the progression10:24 What happens when someone with early arthritis comes to Dynamic Athlete11:18 Case study: 45-year-old with surgery scheduled for the following week — cancels it13:30 She goes from pre-surgery to hiking, 5Ks, 10Ks within the surgical recovery window14:32 The knee replacement lifespan problem — what happens at 70 if you replace at 45?17:19 What should you do the day you get an arthritis diagnosis?17:25 Don't panic. Don't stop moving. Don't accept it as the only answer.18:11 The earlier you start regenerative medicine, the more joint function you preserve19:40 Even bone on bone isn't the end — but earlier is always better Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  4. Jul 28

    #16 Frozen Shoulder Doesn't Take 18 Months — Dr. Aneesh Garg, DO, CAQ on What Actually Works

    Your doctor said frozen shoulder takes 12 to 18 months and there's nothing you can do but wait. Dr. Aneesh Garg, DO, CAQ says that timeline is outdated — and accepting it means losing over a year of your life to something that can be addressed in weeks. In this episode he breaks down why frozen shoulder is a fibrotic capsule problem and not just stiffness, why steroid injections are the wrong treatment, and how EMTT and focused shockwave are cutting frozen shoulder timelines by more than half — including a breast cancer survivor who regained full overhead range of motion after seven years of being stuck below 90 degrees. Chapters: 0:00 Frozen shoulder — why the 12 to 18 month timeline is outdated0:46 My doctor says just wait it out — is there really nothing that speeds it up?0:52 Frozen shoulder is a fibrotic capsule process, not just stiffness2:14 Losing use of your dominant shoulder for 18 months is not an acceptable answer3:11 Should I force my shoulder to move or stretch through the pain?3:16 Why aggressive stretching doesn't break up a fibrotic capsule4:35 Manipulation under anesthesia — what it is and why there are better options7:22 What can actually shorten the frozen shoulder timeline?7:26 Why steroid injections are the wrong treatment for a capsular problem8:39 EMTT and focused shockwave — why they're a game changer for frozen shoulder9:42 Buying back over a year by making the right decisions early10:13 Case study 1: breast cancer survivor regains full overhead motion after 7 to 8 years13:48 Case study 2: close friend who pushed through for three months — in the office at 8:30pm16:33 What should someone with frozen shoulder do right now?16:51 Treat the capsule first, restore motion, then address what caused it17:36 If your doctor says steroid injection and PT — walk out and ask better questions19:02 Weeks not months — what the right treatment timeline actually looks like Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  5. Jul 21

    #15 Tennis Elbow That Won't Quit — Dr. Aneesh Garg, DO, CAQ on Why Steroids Make It Worse

    You can't open a jar. You can't grip a coffee cup without wincing. And you don't even play tennis. Dr. Aneesh Garg, DO, CAQ says the reason two cortisone shots, a brace, and PT haven't fixed it is because tennis elbow isn't an inflammation problem — it's tissue degradation. And steroid injections don't fix tissue degradation. They make it worse. In this episode he breaks down why the elbow is often just collateral damage from a wrist or shoulder problem, what actually heals a degenerative tendon, and how a mom of two with pain in both elbows got back to the beach with her kids using EMTT, focused shockwave, and PRP. Chapters: 0:00 Tennis elbow that won't quit — and you don't even play tennis0:52 Two cortisone shots, a brace, and PT — what's actually missing1:00 Tennis elbow is tissue degradation, not inflammation — why that changes everything2:00 Steroid injections suppress tendon healing — please stop getting them3:04 The elbow is often collateral damage — the real problem is the wrist or shoulder3:21 Should I just rest it completely until it goes away?3:25 Rest weakens the tendon — active healing is different from doing nothing5:08 The motorcycle rev analogy — understanding why the elbow takes the hit7:08 What actually heals a degenerative tendon?7:12 EMTT, focused shockwave, and radial pressure waves — how they work together8:27 If you only had one treatment — focused shockwave is the most important9:26 When to add PRP or stem cells for more significant degeneration11:09 The step-wise protocol: energy medicine first, biologics second, PT third13:30 Case study: active mom of two with pain in both elbows for over a year — back on the beach17:57 If you've been fighting this for months, what's your next move?18:01 Stop the steroid injections — get an ultrasound evaluation instead19:17 The big takeaway: tissue degradation requires tissue healing, not anti-inflammatories Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  6. Jul 14

    #14 Achilles Pain & Avoiding a Rupture — Dr. Aneesh Garg, DO, CAQ on What Actually Works

    That tightness in the back of your ankle that loosens up during a run and tightens right back up after — that's not a warm-up problem. Dr. Aneesh Garg, DO, CAQ says it's a tissue quality problem, and ignoring it is exactly how recreational athletes end up with a full Achilles rupture and a nine-month surgical recovery. In this episode he breaks down why heel drops and stretching stop working once tissue degradation sets in, why most Achilles ruptures happen to tendons that were already breaking down, and how a race car driver told to give up her career got back behind the wheel using EMTT, focused shockwave, and PRP. Chapters: 0:00 The Achilles problem nobody talks about0:51 Why heel drops stop working once tissue degradation sets in1:44 Most Achilles ruptures happen to tendons that were already degenerating2:36 The straw that breaks the camel's back — chronic pain as a rupture warning sign3:51 Can I just push through Achilles pain if I warm up enough?3:57 No — loosening up and tightening back up is a tissue quality issue not a warm-up issue5:02 Pushing through is how recreational athletes end up with a full rupture5:33 Stretching is not the answer for Achilles tendinopathy6:57 What to actually do to fix your Achilles instead of just managing it7:20 Dynamic ultrasound vs. static MRI — what it shows in real time8:27 EMTT, focused shockwave, and radial pressure waves — the combination that works8:48 Achilles tendinopathy was one of the first FDA-cleared indications for shockwave9:48 When to layer in PRP or stem cells for more chronic or severe cases10:24 Case study: race car driver told to give up her career — back racing after regenerative protocol15:03 The one thing Dr. Garg wishes every Achilles patient knew16:30 In-season prevention: using treatment prophylactically before a rupture happens17:45 Why ultrasound is underutilized and often better than MRI for Achilles assessment Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  7. Jul 7

    #13 Why Plantar Fasciitis Keeps Coming Back — Dr. Aneesh Garg, DO, CAQ on the Real Fix

    You've done the night splints, the insoles, the frozen water bottle. Every time you think it's gone, you take a step out of bed and it's right back. Dr. Aneesh Garg, DO, CAQ says the reason it keeps coming back is simple: you're treating the wrong problem. Chronic plantar fasciitis isn't an inflammation issue — it's tissue degradation. And no anti-inflammatory treatment, including cortisone shots, will fix a tissue degradation problem. In this episode he breaks down why steroid injections make the tissue weaker, why focused shockwave is the gold standard treatment, and what actually works for heel pain that's been going on for months or years. Chapters: 0:00 Why plantar fasciitis keeps coming back0:48 Why chronic plantar fasciitis is a misnomer — it's fasciosis, not inflammation1:44 Tissue degradation vs. inflammation — why the distinction changes everything3:19 Would a cortisone shot finally fix my plantar fasciitis?3:27 No — and here's why steroid injections make it worse5:38 What to read at dynamicathlete.com before your next appointment7:36 What actually works for plantar fasciitis that's been going on for months or years7:42 Focused shockwave is the gold standard — one of the first FDA-cleared indications8:18 How EMTT creates a better healing environment before shockwave targets the tissue9:17 When to add PRP or stem cells for that last 10 to 20%10:04 What treatment actually looks like for someone who's had this for years13:12 Why don't more doctors recommend shockwave for plantar fasciitis?15:12 Buying back years of pain-free life — what the investment actually looks like17:07 Patients who said shockwave didn't work — and what changed at Dynamic Athlete19:43 The big takeaways: tissue degradation, no steroids, focused shockwave Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

  8. Jun 30

    #12 Hip Pain That Won't Go Away? Dr. Aneesh Garg, DO, CAQ on What's Really Going On

    You've been told it's bursitis. Or a labral tear. Or your hip flexor. Go stretch it. Here's a steroid shot. Dr. Aneesh Garg, DO, CAQ says those aren't diagnoses — they're garbage can terms that explain nothing and treat even less. In this episode he breaks down why the hip is one of the most misdiagnosed joints in sports medicine, why 60 to 70% of people have labral tears on MRI with zero pain, and what's actually going on when runners, cyclists, and active adults can't get their hip pain to go away. Chapters: 00:00 Hip pain that won't go away — and why your diagnosis is probably wrong 00:52 Why bursitis, sciatica, and hip flexor are garbage can terms 02:35 Is this the hip joint, the glutes, the labrum, the SI joint, or the pelvic floor? 03:37 My doctor just wrote "hip pain" and sent me to PT — what that actually means 04:22 My MRI shows a labral tear — does that mean I need surgery? 04:29 60 to 70% of people have labral tears with no pain — it's not a verdict 06:28 Hip labral repair is a big surgery — make sure you've tried everything else first 07:41 How do you figure out what's causing hip pain when imaging doesn't give a clear answer? 08:36 Case study: high level athlete with TFL pain — what dynamic testing found in real time 12:16 Case study: professional cyclist with lateral hip pain — never felt so strong through her pedals 14:55 Pro hockey player case study: more efficient through his skates after Dynamic Core Plus 15:54 Recreational runner with pelvic stress fractures — what was actually driving them 17:27 What Dr. Garg does differently with every hip pain patient 19:34 Hip pain after wearing a boot — a cause nobody thinks to check 20:13 The big takeaways: stop chasing MRI findings, start chasing functional limitations Links: Dynamic Athlete Homepage: https://dynamicathlete.com/Meet Dr. Aneesh Garg: https://dynamicathlete.com/dr-aneesh-garg/PRP Therapy: https://dynamicathlete.com/prp-therapy/Stem Cell Therapy: https://dynamicathlete.com/stem-cell-therapy/Shockwave Therapy: https://dynamicathlete.com/shockwave-therapy/Exomind: https://dynamicathlete.com/exomind/Emsella Therapy: https://dynamicathlete.com/emsella-therapy/ The Regen Doc is for educational purposes only and does not constitute medical advice or create a physician-patient relationship. Individual results vary. Candidacy requires a formal consultation at DynamicAthlete.com.

About

The Regen Doc podcast with Dr. Aneesh Garg explores non-surgical regenerative medicine for athletes and active individuals. Discover how PRP, stem cell therapy, shockwave, EXOMIND, and EMSELLA can help you avoid surgery, heal at the cellular level, and get back to peak performance. Perfect for runners, climbers, cyclists, and weekend warriors seeking precision care.

You Might Also Like